Department of Psychiatry, Juntendo University Shizuoka Hospital, Shizuoka, Japan,
Department of Psychiatry, Juntendo University School of Medicine, Tokyo, Japan,
Neuropsychobiology. 2019;77(4):165-175. doi: 10.1159/000490429. Epub 2018 Jul 26.
Aberrant functional connectivity (FC) is increasingly implicated in the clinical phenomenology of schizophrenia. This study focused on the FC of the cortico-striatal network, which is thought to be disrupted in schizophrenia and to contribute to its clinical manifestations.
We used simultaneous resting-state functional magnetic resonance imaging (rsfMRI) and electroencephalography (EEG) recordings to investigate FC in patients with schizophrenia. The study included 20 patients with schizophrenia and 20 healthy controls (HCs). Simultaneously recorded rsfMRI and EEG data were collected with an MR-compatible amplifier, and rsfMRI data were analyzed with the CONN toolbox to calculate FC. The study focused on the caudate, which was defined as the seed. We also performed between-group comparisons of standardized low-resolution electromagnetic tomography intracortical lagged coherence for each EEG frequency band.
Compared to HCs, patients with schizophrenia showed enhanced FC between the caudate nucleus and the posterior cingulate cortex, temporal, and occipital regions on rsfMRI. It is thus possible that HCs have negative FC between these regions, whereas patients with schizophrenia have non-negative FC. The EEG results showed no significant differences in oscillations or in FC between the groups in any frequency band in any region.
Increased FC in the caudate may represent aberrant between-network FC resulting from the disruption of segregation between networks.
异常的功能连接(FC)越来越多地与精神分裂症的临床现象学有关。本研究集中于皮质纹状体网络的 FC,该网络被认为在精神分裂症中被破坏,并导致其临床表现。
我们使用同步静息态功能磁共振成像(rsfMRI)和脑电图(EEG)记录来研究精神分裂症患者的 FC。该研究包括 20 名精神分裂症患者和 20 名健康对照者(HCs)。同步记录的 rsfMRI 和 EEG 数据是使用与磁共振兼容的放大器采集的,rsfMRI 数据使用 CONN 工具箱进行分析,以计算 FC。该研究集中于尾状核,将其定义为种子。我们还对每个 EEG 频带的标准化低分辨率电磁层析成像皮质内滞后相干性进行了组间比较。
与 HCs 相比,精神分裂症患者在 rsfMRI 上表现出尾状核与后扣带回、颞叶和枕叶之间的 FC 增强。因此,HCs 可能在这些区域之间存在负 FC,而精神分裂症患者则存在非负 FC。EEG 结果显示,在任何频率带的任何区域,两组之间的振荡或 FC 均无显著差异。
尾状核的 FC 增加可能代表网络间 FC 的异常,这是由于网络间的隔离被破坏所致。